Q3 Earnings Alert: These are the most overvalued right nowSee Overvalued Stocks

Humana shares dip after Medicare releases final quality ratings

Published 10/11/2024, 06:50 AM
HUM
-

Investing.com -- Shares in Humana (NYSE:HUM) dropped in premarket US trading on Friday after the US government released the final results of its quality ratings for 2025 Medicare health and prescription drug plans.

About 62% of people enrolled in Medicare Advantage prescription drug plans are currently in cotracts that have the four-star or higher ratings which can indicate better performance, according to a statement from the Centers for Medicare & Medicaid Services. In the prior year, the figure stood at 74%.

Last week, preliminary numbers showed that 25% of Humana's members had signed up for plans that had ratings of 4 stars or above in 2025 -- down from 94% in the prior year.

Much of this decrease was due to the rating of Humana's H5216 contract being lowered to 3.5 stars from 4.5 stars, the company has said. The plan contains roughly 45% of Humana's Medicare Advantage customers, including more than 90% of its employer group waiver plan members, it added.

"The decline in Stars performance for 2025 will impact Humana’s quality bonus payments in 2026," the firm flagged at the time. The Centers for Medicare and Medicaid typically awards a quality bonus to health plans that achieve 4 stars or higher.

Humana said it also had outstanding appeals related to some of the results and had requested additional information to ensure the accuracy of the threshold calculations.

However, in a note to clients, analysts at Wells Fargo said the final quality ratings were in line with Humana's previous statement. This appeared to indicate that Humana's "appeals have failed and litigation could follow," the analysts added.

They estimated that the updated ratings will present a $13.60, or 52.3%, headwind to Humana's 2026 earnings per share.

The ratings decline is not expected to impact Humana's financial results or outlook for this year or 2025, but the company said it is taking steps to "mitigate" an anticipated impact to its 2026 revenue should its appeals prove unsuccessful.

Latest comments

Risk Disclosure: Trading in financial instruments and/or cryptocurrencies involves high risks including the risk of losing some, or all, of your investment amount, and may not be suitable for all investors. Prices of cryptocurrencies are extremely volatile and may be affected by external factors such as financial, regulatory or political events. Trading on margin increases the financial risks.
Before deciding to trade in financial instrument or cryptocurrencies you should be fully informed of the risks and costs associated with trading the financial markets, carefully consider your investment objectives, level of experience, and risk appetite, and seek professional advice where needed.
Fusion Media would like to remind you that the data contained in this website is not necessarily real-time nor accurate. The data and prices on the website are not necessarily provided by any market or exchange, but may be provided by market makers, and so prices may not be accurate and may differ from the actual price at any given market, meaning prices are indicative and not appropriate for trading purposes. Fusion Media and any provider of the data contained in this website will not accept liability for any loss or damage as a result of your trading, or your reliance on the information contained within this website.
It is prohibited to use, store, reproduce, display, modify, transmit or distribute the data contained in this website without the explicit prior written permission of Fusion Media and/or the data provider. All intellectual property rights are reserved by the providers and/or the exchange providing the data contained in this website.
Fusion Media may be compensated by the advertisers that appear on the website, based on your interaction with the advertisements or advertisers.
© 2007-2024 - Fusion Media Limited. All Rights Reserved.